Active NPI
Amonrath Chittchang, M.D.
- Internal Medicine Physician
- Timonium, MD
National Provider Identifier
1265755482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0019054
- Practice address
- 16 Greenmeadow Dr
Suite G-105
Timonium, MD 21093-3200 - Phone
- (410) 561-5773
- NPI assigned
- Mar 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0019054 | MD | Primary |
Addresses
Primary practice location
16 Greenmeadow Dr
Suite G-105
Timonium, MD 21093-3200
Mailing address
9649 Belair Rd
Second Floor
Baltimore, MD 21236-1100
Phone (410) 248-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Physicians PA | Internal Medicine | Current | Accepting new patients |
Locations
9649 Belair Rd
Fl Second
Nottingham, MD 21236
Phone (410) 248-2650
9649 Belair Rd
Fl 2
Nottingham, MD 21236
Phone (410) 256-9340
16 Greenmeadow Dr
Ste G105
Timonium, MD 21093
Phone (410) 561-5773
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1265755482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9649 BELAIR RD",
"address_2": "SECOND FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212361100",
"telephone_number": "410-248-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 GREENMEADOW DR",
"address_2": "SUITE G-105",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210933200",
"telephone_number": "410-561-5773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHITTCHANG",
"first_name": "AMONRATH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0019054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.